| NPI | 1346472446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZIZ IMTIAZ Propreiter 863-419-1428 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL ME-100789) |
| Enumeration Date | 2009-08-22 |
| Last Update Date | 2020-04-03 |